Food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic
To estimate the association between food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic. Cross-sectional study. Multiple logistic regression models were used to estimate the associations between food insufficiency and mental health service utilisation. US...
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Veröffentlicht in: | Public health nutrition 2022-01, Vol.25 (1), p.76-81 |
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creator | Nagata, Jason M Ganson, Kyle T Cattle, Chloe J Whittle, Henry J Tsai, Alexander C Weiser, Sheri D |
description | To estimate the association between food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic.
Cross-sectional study. Multiple logistic regression models were used to estimate the associations between food insufficiency and mental health service utilisation.
US Census Household Pulse Survey data collected in October 2020.
Nationally representative sample of 68 611 US adults.
After adjusting for sociodemographic factors, experiencing food insufficiency was associated with higher odds of unmet mental health need (adjusted OR (AOR) 2·90; 95 % CI 2·46, 3·43), receiving mental health counselling or therapy (AOR 1·51; 95 % CI 1·24, 1·83) and psychotropic medication use (AOR 1·56; 95 % CI 1·35, 1·80). Anxiety and depression symptoms mediated most of the association between food insufficiency and unmet mental health need but not the associations between food insufficiency and either receiving mental health counselling/therapy or psychotropic medication use.
Clinicians should regularly screen patients for food insufficiency, especially in the wake of the COVID-19 pandemic. Expanding access to supplemental food programmes may help to mitigate the need for higher mental health service utilisation during the COVID-19 pandemic. |
doi_str_mv | 10.1017/S1368980021003001 |
format | Article |
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Cross-sectional study. Multiple logistic regression models were used to estimate the associations between food insufficiency and mental health service utilisation.
US Census Household Pulse Survey data collected in October 2020.
Nationally representative sample of 68 611 US adults.
After adjusting for sociodemographic factors, experiencing food insufficiency was associated with higher odds of unmet mental health need (adjusted OR (AOR) 2·90; 95 % CI 2·46, 3·43), receiving mental health counselling or therapy (AOR 1·51; 95 % CI 1·24, 1·83) and psychotropic medication use (AOR 1·56; 95 % CI 1·35, 1·80). Anxiety and depression symptoms mediated most of the association between food insufficiency and unmet mental health need but not the associations between food insufficiency and either receiving mental health counselling/therapy or psychotropic medication use.
Clinicians should regularly screen patients for food insufficiency, especially in the wake of the COVID-19 pandemic. Expanding access to supplemental food programmes may help to mitigate the need for higher mental health service utilisation during the COVID-19 pandemic.</description><identifier>ISSN: 1368-9800</identifier><identifier>EISSN: 1475-2727</identifier><identifier>DOI: 10.1017/S1368980021003001</identifier><identifier>PMID: 34261566</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adult ; Counseling ; COVID-19 ; Cross-Sectional Studies ; Depression - epidemiology ; Food ; Food security ; Health services ; Health services utilization ; Households ; Humans ; Mental depression ; Mental disorders ; Mental health ; Nutritional Epidemiology ; Pandemics ; Regression analysis ; Regression models ; SARS-CoV-2 ; Short Communication ; United States - epidemiology</subject><ispartof>Public health nutrition, 2022-01, Vol.25 (1), p.76-81</ispartof><rights>The Author(s), 2021. Published by Cambridge University Press on behalf of The Nutrition Society</rights><rights>The Author(s), 2021. Published by Cambridge University Press on behalf of The Nutrition Society. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the associated terms available at: https://uk.sagepub.com/en-gb/eur/reusing-open-access-and-sage-choice-content</rights><rights>The Authors 2021 2021 The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-33f65c09a17449e5075e253e5a7a2ccfe4c299ab10b67a73df53c3b57efac5803</citedby><cites>FETCH-LOGICAL-c471t-33f65c09a17449e5075e253e5a7a2ccfe4c299ab10b67a73df53c3b57efac5803</cites><orcidid>0000-0001-6397-7917 ; 0000-0002-6541-0604</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8367866/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1368980021003001/type/journal_article$$EHTML$$P50$$Gcambridge$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,23318,27924,27925,53791,53793,55804</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34261566$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nagata, Jason M</creatorcontrib><creatorcontrib>Ganson, Kyle T</creatorcontrib><creatorcontrib>Cattle, Chloe J</creatorcontrib><creatorcontrib>Whittle, Henry J</creatorcontrib><creatorcontrib>Tsai, Alexander C</creatorcontrib><creatorcontrib>Weiser, Sheri D</creatorcontrib><title>Food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic</title><title>Public health nutrition</title><addtitle>Public Health Nutr</addtitle><description>To estimate the association between food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic.
Cross-sectional study. Multiple logistic regression models were used to estimate the associations between food insufficiency and mental health service utilisation.
US Census Household Pulse Survey data collected in October 2020.
Nationally representative sample of 68 611 US adults.
After adjusting for sociodemographic factors, experiencing food insufficiency was associated with higher odds of unmet mental health need (adjusted OR (AOR) 2·90; 95 % CI 2·46, 3·43), receiving mental health counselling or therapy (AOR 1·51; 95 % CI 1·24, 1·83) and psychotropic medication use (AOR 1·56; 95 % CI 1·35, 1·80). Anxiety and depression symptoms mediated most of the association between food insufficiency and unmet mental health need but not the associations between food insufficiency and either receiving mental health counselling/therapy or psychotropic medication use.
Clinicians should regularly screen patients for food insufficiency, especially in the wake of the COVID-19 pandemic. Expanding access to supplemental food programmes may help to mitigate the need for higher mental health service utilisation during the COVID-19 pandemic.</description><subject>Adult</subject><subject>Counseling</subject><subject>COVID-19</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Food</subject><subject>Food security</subject><subject>Health services</subject><subject>Health services utilization</subject><subject>Households</subject><subject>Humans</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Nutritional Epidemiology</subject><subject>Pandemics</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>SARS-CoV-2</subject><subject>Short Communication</subject><subject>United States - epidemiology</subject><issn>1368-9800</issn><issn>1475-2727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>IKXGN</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kc1u1DAUhS0EoqXwAGyQJTZsAtd2bCcbpGpKS6VKXZSyNY5zM-MqsQc7qdS3x9MO5U-sbOuc8_leHUJeM3jPgOkPV0yopm0AOAMQAOwJOWS1lhXXXD8t9yJXO_2AvMj5BgCk1vo5ORA1V0wqdUi-ncbYUx_yMgzeeQzujtrQ0wnDbEe6QTvOG5ox3XqHdJn96LOdfQwlQ-cN0uurY9ovyYf1_XN1-fX8pGIt3RYKTt69JM8GO2Z8tT-PyPXppy-rz9XF5dn56viicrVmcyXEoKSD1jJd1y1K0BK5FCittty5AWvH29Z2DDqlrRb9IIUTndQ4WCcbEEfk4wN3u3QT9q7Mn-xotslPNt2ZaL35Uwl-Y9bx1jRC6UapAni3B6T4fcE8m8lnh-NoA8YlGy4Va3ktYGd9-5f1Ji4plPUMV1yBVlw0xcUeXC7FnBMOj8MwMLv-zD_9lcyb37d4TPwsrBjEHmqnLvl-jb_-_j_2B-21pHw</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Nagata, Jason M</creator><creator>Ganson, Kyle T</creator><creator>Cattle, Chloe J</creator><creator>Whittle, Henry J</creator><creator>Tsai, Alexander C</creator><creator>Weiser, Sheri D</creator><general>Cambridge University Press</general><scope>IKXGN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7T2</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6397-7917</orcidid><orcidid>https://orcid.org/0000-0002-6541-0604</orcidid></search><sort><creationdate>20220101</creationdate><title>Food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic</title><author>Nagata, Jason M ; 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Cross-sectional study. Multiple logistic regression models were used to estimate the associations between food insufficiency and mental health service utilisation.
US Census Household Pulse Survey data collected in October 2020.
Nationally representative sample of 68 611 US adults.
After adjusting for sociodemographic factors, experiencing food insufficiency was associated with higher odds of unmet mental health need (adjusted OR (AOR) 2·90; 95 % CI 2·46, 3·43), receiving mental health counselling or therapy (AOR 1·51; 95 % CI 1·24, 1·83) and psychotropic medication use (AOR 1·56; 95 % CI 1·35, 1·80). Anxiety and depression symptoms mediated most of the association between food insufficiency and unmet mental health need but not the associations between food insufficiency and either receiving mental health counselling/therapy or psychotropic medication use.
Clinicians should regularly screen patients for food insufficiency, especially in the wake of the COVID-19 pandemic. Expanding access to supplemental food programmes may help to mitigate the need for higher mental health service utilisation during the COVID-19 pandemic.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>34261566</pmid><doi>10.1017/S1368980021003001</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-6397-7917</orcidid><orcidid>https://orcid.org/0000-0002-6541-0604</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adult Counseling COVID-19 Cross-Sectional Studies Depression - epidemiology Food Food security Health services Health services utilization Households Humans Mental depression Mental disorders Mental health Nutritional Epidemiology Pandemics Regression analysis Regression models SARS-CoV-2 Short Communication United States - epidemiology |
title | Food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic |
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